Abstract
The hallmark of AIDS is the progressive disappearance of CD4+ helper T lymphocytes which, in addition to be the targets of the virus play a major role in the immune system. Although it is likely that the active replication of the virus in lymphoid organs is at least associated with CD4+ T cell depletion, it has become clear that indirect mechanisms have to be considered to explain the extent of immunosuppression. HIV disease is now considered as a multifactorial process and the immunopathogenic mechanisms involved appear to be very complex. In the present review, some of the indirect mechanisms potentially involved in AIDS pathogenesis will be discussed, focusing on the causes and consequences of a persistant and inappropriate activation of the immune system leading to paralysis (anergy) or self destruction (apoptosis) of non-infected patients’ T cells (1-4).
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References
Fauci AS (1993) Multifactorial nature of HIV disease: implications for therapy. Science 262:1011–1018
Gougeon ML and Montagnier L (1993) Apoptosis in AIDS. Science 260:1269–1270
Levy JA (1993) Pathogenesis of human immunodeficiency virus infection. Microb. Rev. 57: 183–289
Gougeon ML (1995) Does apoptosis contribute to CD4 T cell depletion in human immunodeficiency virus infection? Cell Death and Differentiation 2:1–8
Embretson J, Zupancic M, Ribas J.L., et al. (1993) Massive covert infection of helper T lymphocytes and macrophages by HIV during the incubation period of AIDS. Nature, 362:359–362
Pantaleo G, Graziosi C, Demarest J.F. et al. (1993) HIV infection is active and progressive in lymphoid tissue during the clinically latent stage of disease. Nature, 362:355–358
Terai C, Kombluth, RS, Pauza CD, Richman DD, Carson DA (1991) Apoptosis as a mechanism of cell death in cultured T lymphoblasts acutely infected with HIV-1. J.Clin.Invest. 87: 1710–1715
Laurent-Crawford AG, Krust B, Muller S, Rivire Y, Rey-Cuill MA, Bchet JM, Montagnier L, Hovanessian A (1991). The cytopathic effect of HIV is associated with apoptosis. Virology 185: 829–839
Laurent-Crawford AG, Krust B, Rivire Y, Muller S, Kieny MP, Dauguet C, Hovanessian AG (1992) Membrane expression of HIV envelope glycoproteins triggers apoptosis in CD4 cells. AIDS Res Hum Retrov
Lanzavecchia A, Roosnek E, Gregory T et al. (1988). T cells can present antigen such as HIV gp120 targeted to their own surface molecules. Nature, 334, 530–532
Weinhold KJ, Lyerly HK, Stanley SD, et al. (1989) HIV-1-gp120 mediated immune response and lymphocyte destruction in the absence of viral infection. J. Immunol 142, 3091–3097
Pantaleo G, De Maria A, Koenig S et al. (1990) CD8+ T lymphocytes of patients with AIDS maintain normal broad cytoloytic function despite the loss of HIV-specific cytotoxicity. Proc. Nat. Acad Sci USA 87:4818–4822
Riviere Y, Tanneau-Salvadori F, Regnault A et al. (1989) HIV-specific cytotoxic responses of seropositive individuals: distinct types of effector cells mediate killing of targets expressing gag and env proteins. J. Virol. 63: 2270–2277
Chams V, Jouault T, Fenouillet E, Gluckman JC, Klatzmann D (1988) Detection of anti-CD4 autoantibodies in the sera of HIV-infected patients using recombinant soluble CD4 molecules. AIDS, 2, 353–361
Shearer GM and M Clerici (1991) Early T-helper cell defect in HIV infection. AIDS 5: 245–253
Miedema F, Petit AJC, Terpstra FG et al (1988). Immunological abnormalities in human immunodeficiency virus (HIV) infected asymptomatic homosexual men. HIV affects the immune system before CD4+ T helper cell depletion. J. Clin. Invest 82: 1908–1915
Di Rienzo AM, Furlini G, Olivier R, Ferris S, Heeney J, Montagnier L. (1993) Different proliferative response of human and chumpanzee lymphocytes after contact with HIV-l. Eur J Immunol. 24:34–40
Banda NM, Bernier J, Kurahara DK et al. (1992) Cross-linking by HIV gp120 primes T cells for activation-induced apoptosis J Exp Med 176: 1099–1106
Arends MJ, Morris RG, Wyllie A.H. (1990). Apoptosis. The role of the endonuclease AM. J. Pathol. 136: 593–608
Jenkinson EJ, Kingston CA, Smith CA, Williams GT, Owen JJT (1989) Antigen-induced apoptosis in developing T cells: a mechanism for negative selection of the TCR repertoire. Eur. J. Immunol. 19:2175–2180
Kawabe Y, Ochi A (1991) Programmed cell death and extrathymic reduction of Vß8+CD4+ T cells in mice tolerant to Staphylocccus aureus enterotoxin B. Nature 349:245–248
Webb S, Morris C, Sprent J (1990) Extrathymic tolerance of mature T cells: clonal elimination as a consequence of autoimmunity. Cell 63:1249–1256
Newell MK, Haughn LJ, Maroun CR, Julius M (1990). Death of mature T cells by separate ligation of CD4 and the T cell receptor for antigen. Nature 347:286–288
Uehara T, Miyawaki T, Ohta K et al. (1992). Apoptotic cell death of primed CD45R0+ T lymphocytes in Epstein-Barr virus-induced infectious mononucleosis. Blood 80:452–458
Akbar AN, Borthwick N, Salmon M et al. (1993) The significance of low bc1–2 expression by CD45R0 T cells in normal individuals and patients with acute viral infections. The role of apoptosis in T cell memory. J Exp Med 178 427–438
Gougeon ML, Olivier R, Garcia S, Guétard D, Dragic T, Dauguet C, Montagnier L. (1991) Evidence for an engagement process towards apoptosis in lymphocytes of HIV infected patients. C. R. Acad. Sci. Paris 312: 529–537
Gougeon ML, Garcia S, Gutard D, Olivier R, Dauguet C, Montagnier L. (1992) Apoptosis as a mechanism of cell death in peripheral lymphocytes from HIV 1-infected individuals in Immunology of HIV infection (Janossy G, Autran B, Miedema F, eds) pp. 115–126, A.G. Karger, Basel
Gougeon ML, Garcia S, Heeney, J, Tschopp R, Lecoeur H, Guetard D, Rame V, Dauguet C, Montagnier L. (1993). Programmed cell death of T lymphocytes in AIDS related HIV and SIV infections. AIDS Res. Hum. Retrov. 9:553–563
Meyaard L., Otto, S.A., Jonker R.R., Mijnster M.J., Keet R., Miedema F. (1992). Programmed death of T cells in HIV-1 infection. Science, 257:217–219
Gougeon ML, Lecoeur H, Boudet F, Dulioust A, Enouf MG, Crouvoisier M, Montagnier L. (1995) Apoptosis as a consequence of the general state of immune activation in HIV-infection. Influence on bcl-2 expression. In “Retroviruses of Human AIDS and Related Animal Diseases” (M. Girard and L. Valette Eds), Fondation M. Merieux,8 me colloque des Cents Gardes, In press
Rosenberg ZF, Fauci AS (1990) Immunopathogenic mechanisms of HIV infection: cytokine induction of HIV expression. Immunol. Today 11: 176–180
Poli G and Fauci AS (1992) The effects of cytokines and pharmacologic agents on chronic HIV infection. AIDS Res Hum Retrov 8:191–197
Choi Y, Kappler JW, Marrack P (1991) A superantigen encoding in the open reading frame of the 3’ long terminal repeat of mouse mammary tumour virus. Nature 350:203–207
Kappler J B, Kotzin, L. Herron, E. Gelfand, R. Bigler, A. Boylston, S. Carrel, D. Posnett, Y. Choi, and P. Marrack. (1989) V beta-specific stimulation of human T cells by staphylococcal toxins. Science. 244: 811.
Marrack, P., and J. Kappler.(1990). The staphylococcal enterotoxins and their relatives. Science. 248: 1066.
Korman, A.J., P. Bourgarel, T. Meo, and G.E. Rieckhof. (1992). The mouse mammary tumor virus long terminal repeat encodes a type II transmembrane glycoprotein. EMBO. J. 11: 1901.
Hugin A, M. Vacchio, and H. Morse. 1991. A virus-encoded “superantigen” in a retrovirus-induced immunodeficiency syndrome of mice. Science. 252: 424.
Janeway C (1991) Immune recognition. Mls: makes a little sense. Nature. 349: 459–460
Imberti, L., A. Sottini, A. Bettinardi, M. Puoti, and D. Primi. 1991. Selective depletion in HIV infection of T cells that bear specific T cell receptor V beta sequences. Science. 254: 860.
Dalgleish, A., S. Wilson, M. Gompels, C. Ludlam, B. Gazzard, A. Coates, and J. Habeshaw (1992) T-cell receptor variable gene products and early HIV-1 infection. Lancet. 339: 824.
Soudeyns, H., N. Rebai, G.P. Pantaleo, C. Ciurli, T. Boghossian, R.P. Skali, and A.S. Fauci. (1993). The T cell receptor V§ repertoire in HIV-1 infection and disease. Seminars in Immunology. 5: 175.
Gulwani-Akolkar B, DN Posnett, CH Janson, J Grunwald, H Wigzell, P Akolkar, PK Gregersen, and J Silver. (1991) T cell receptor V-segment frequencies in peripheral blood T cells correlate with human leucocyte antigen type. J. Exp. Med. 174: 1139.
Dadaglio G, Garcia S, Montagnier L, Gougeon ML (1994) Selective anergy of V§8+ T cells in human immunodeficiency virus-infected individuals. J Exp Med 179:413–424
Dadaglio G, Poccia F, Garcia S, Mller-Alouf H, Roue R, Montagnier L, Gougeon ML. (1993). V § specific T cell clonal anergy in HIV-infected individuals with possible involvement of an HIV component. In Retroviruses of human AIDS and related Animal Diseases (M. Girard and L. Valette Eds), p. 17–22, Fondation M.Mrieux
Fultz PN (1991) Replication of an acutely lethal simian immunodeficiency virus activates and induces proliferation of lymphocytes. J. Virol. 65: 4902–4910
Laurence, J., A.S. Hodtsev, and D.N. Posnett (1992) Superantigen implicated in dependence of HIV-1 replication in T cells on TCR V beta expression. Nature. 358: 255.
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Gougeon, ML. (1995). T Cell Apoptosis as a Consequence of Chronic Activation of the Immune System in HIV Infection. In: Andrieu, JM., Lu, W. (eds) Cell Activation and Apoptosis in HIV Infection. Advances in Experimental Medicine and Biology, vol 374. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-1995-9_11
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DOI: https://doi.org/10.1007/978-1-4615-1995-9_11
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